Cicatricial Pemphigoid Presenting As Upper Airways Obstruction

A 53-year-old woman presented with a history of increased shortness of breath, stridor and dryness of the eyes. Flow volume loops demonstrated evidence of upper airways obstruction. Conjunctival and laryngeal biopsies suggested a diagnosis of cicatricial pemphigoid. Immunosuppressive therapy improved symptoms and the flow volume loops returned to normal.